Provider Demographics
NPI:1326273475
Name:THEIR4U FOUNDATION
Entity Type:Organization
Organization Name:THEIR4U FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOVONNIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-225-7775
Mailing Address - Street 1:4445 DEVONHILL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-4076
Mailing Address - Country:US
Mailing Address - Phone:980-225-7775
Mailing Address - Fax:
Practice Address - Street 1:4801 E INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 704
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-5400
Practice Address - Country:US
Practice Address - Phone:980-225-7775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management